表1a 手術部位感染発生状況 全体データ 統計期間： …

1 SSI ( ) 75 ( ) JHAIS (2012 2016)NHSN (2006 2008)2016/12/31 2016/01/01 BILI BILI-L BILI-PD BILI-O GAST GAST-D GAST-O GAST-T 6 27 1/43 0 SSI (%)SSI (%)SSI (%)SSI (%)SIR123 JHAIS SSI Risk Index Category 2016/01/01 2016/12/31 BILI BILI-L BILI-PD BILI-O JHAIS ASA 0 or 1 0 or 1 0 or 1 0 1 2 3 ASA P1 2 0 P3 6 1 ClassI II 0 ClassIII IV 1 75 0 1 SIR SSI / SSI SSI RIC SSI 100 75 SSI JHAIS 2012 2016 2017 6 27 2/43 Modified JHAIS SSI Risk Index Category a 2016/01/01 2016/12/31 -1 SSI (%)SIR0 SSI (%)1 SSI (%)2 SSI (%)3 SSI (%) SSI (%)SIR0-NoSSI (%)1 SSI (%)2 SSI (%)3 SSI (%)

2 GAST GAST-D GAST-O GAST-T Modified JHAIS CHOL COLO REC JHAIS 1 APPY GAST JHAIS 0 0-Yes 0-No2017 6 27 3/43 0 SSI (%)SSI (%)SSI (%)SSI (%)SIR123 NHSN SSI Risk Index Category 2016/01/01 2016/12/31 BILI BILI-L BILI-PD BILI-O GAST GAST-D GAST-O GAST-T NHSN ASA 0 or 1 0 or 1 0 or 1 0 1 2 3 ASA P1 P2 0 P3 P6 1 ClassI II 0 ClassIII IV 1 75 0 1 SIR SSI / SSI SSI RIC SSI 100 75 SSI NHSN Report2006 2008 2017 6 27 4/43 JHAIS SSI SSI SIR SIR NHSN 2016/01/01 2016/12/31 aSSI SSI BILI BILI-L BILI-PD BILI-O GAST GAST-D GAST-O GAST-T SIR SSI / SSI SSI RIC SSI 100 JHAIS JHAIS 2012

3 2016 75 RIC SSI NHSN NHSN Report2006 2008 75 RIC SSI 2017 6 27 5/43 SSI (%)SSI (%)SSI (%)SSI (%) a2016/01/012016/12/31 BILI BILI-L BILI-PD BILI-O GAST GAST-D GAST-O GAST-T 2017 6 27 6/43 SSI 2016/01/01 2016/12/31 (%)SSI (%)SSI (%)SSI (%) a BILI BILI-L BILI-PD BILI-O GAST GAST-D GAST-O GAST-T 2017 6 27 7/43 SSI (%)SSI (%) 2016/01/012016/12/31 a BILI BILI-L BILI-PD BILI-O GAST GAST-D GAST-O GAST-T 2017 6 27 8/43 2016/01/01 2016/12/311 23 a AAA100100026 AAE110000018 AMP651052212 APPY12165650464477 AVSD110010019 BILI4711072933561891048 BILI-L145428953016328 BILI-O14128111021133328 BILI-PD18537101382040408 BRST15150060014 CARD18441040319 CBGB261628133214 CBGC731350222 CEA00000000 CHOL134955345613158 COLO88755361273386173747 CRAN1222850112 CSEC119118009 ESOP94291352134589 FUSN291694171111FX4222182255819 GAST3191121719073104448 GAST-D144437942947238 GAST-O7341626241758 GAST-T102284702040167 HER252320200110 HPRO22172320215 HTP00000000 HYST1370630613 KPRO19172032116 KTP00000000 LAM13571100212 LTP00000000

4 NECK00000000 NEPH10101006 OVRY86116019 PACE00000000 PRST660060010 PVBY330030013 REC43216941222114164557 RFUSN211010124SB19814014449925227 SPLE30030007 TAA1224651218 TAE00000000 THOR2290139059 THYR00000000 VARX00000000 VHYS10010014 VSHN200210218 XLAP6532825317199 BILI BILI-L BILI-PD BILI-O GAST GAST-D GAST-O GAST-T 1 2 3 / 2017 6 27 9/43 2016/01/01 2016/12/31 10 a 1 Enterococcus faecalis4332 Pseudomonas aeruginosa2673 Enterobacter cloacae2644 Escherichia coli2455 Staphylococcus aureus (MRSA)1556 Enterococcus faecium1327 Candida albicans1198 Corynebacterium fragilis9810 Staphylococcus epidermidis86 1907 10 2017 6 27 10/43 2016/01/01 2016/12/31 10 a ()AAA1 Serratia marcescens subsp.

5 Marcescens1 1 ()AAE1 Enterococcus faecium12 Staphylococcus epidermidis1 2 ()AMP1 Bacteroides faecium14 Enterococcus coli16 Staphylococcus aureus (MRSA)17 Staphylococcus epidermidis1 7 ()APPY1 Pseudomonas aeruginosa162 Escherichia coli153 Bacteroides fragilis84 Enterobacter cloacae55 Enterococcus faecalis56 Enterococcus avium47 Peptostreptococcus thetaiotaomicron210 Citrobacter freundii2 62 ()AVSD1 Staphylococcus aureus (MSSA)1 1 ()BILI-L1 Enterococcus faecalis222 Staphylococcus aureus (MRSA)193 Enterobacter cloacae104 Pseudomonas aeruginosa95 Enterococcus faecium76 Staphylococcus epidermidis77 Staphylococcus aureus (MSSA)68 Candida albicans59 Corynebacterium coli4 94 ()BILI-O1 Enterobacter cloacae142 Enterococcus faecalis123 Escherichia coli104 Candida albicans95 Corynebacterium aeruginosa87 Staphylococcus aureus (MRSA)88 Klebsiella pneumoniae subsp.

6 Pneumoniae59 Staphylococcus aureus (MSSA)510 Staphylococcus epidermidis5 84 ()BILI-PD1 Enterococcus faecalis452 Enterobacter cloacae303 Pseudomonas aeruginosa224 Candida albicans155 Enterococcus faecium146 Klebsiella pneumoniae subsp. pneumoniae117 Escherichia coli108 Enterobacter aerogenes89 Enterococcus anginosus7 170 ()BRST1 Staphylococcus aureus subsp. aureus23 Peptostreptococcus anaerobius14 Staphylococcus ,coagulase negative (CNS)1 72017 6 27 11/43 ()CARD1 Corynebacterium aureus (MSSA)33 Staphylococcus epidermidis34 Gram-positive cocci25 Staphylococcus aureus subsp. aureus26 Burkholderia cepacia17 Candida albicans18 Candida marcescens subsp. marcescens1 18 ()CBGB1 Staphylococcus aureus (MSSA)42 Staphylococcus epidermidis33 Staphylococcus aureus (MRSA)24 Acinetobacter baumannii15 Corynebacterium morganii subsp.

7 Morganii17 Serratia marcescens subsp. marcescens18 Staphylococcus ,coagulase negative (CNS)19 Staphylococcus aureus (MSSA) ( )110 Staphylococcus capitis subsp. capitis1 16 ()CBGC1 Corynebacterium faecalis13 Propionibacterium acnes14 Staphylococcus aureus (MRSA)15 Staphylococcus capitis subsp. capitis16 Staphylococcus 6 ()CHOL1 Enterococcus faecalis122 Escherichia coli113 Pseudomonas aeruginosa114 Staphylococcus aureus (MRSA)95 Enterobacter cloacae86 Enterococcus faecium77 Citrobacter freundii48 Staphylococcus aureus (MSSA)49 Staphylococcus epidermidis410 Bacteroides thetaiotaomicron3 73 ()COLO1 Enterococcus faecalis1642 Pseudomonas aeruginosa843 Enterobacter cloacae824 Escherichia coli815 Enterococcus faecium476 Bacteroides fragilis467 Staphylococcus aureus (MRSA)428 Corynebacterium avium2610 Candida albicans24 623 ()CRAN1 Staphylococcus aureus (MRSA)32 Finegoldia magna23 Enterobacter aerogenes14 Propionibacterium aeruginosa16 Staphylococcus epidermidis17 Staphylococcus haemolyticus18 Staphylococcus 12 ()

8 CSEC1 Staphylococcus epidermidis42 Citrobacter koseri13 Enterococcus faecalis14 Gardnerella vaginalis15 Plesiomonas loescheii17 Pseudomonas anginosus19 Streptococcus salivarius110 ( )1 13 ()ESOP1 Enterobacter cloacae102 Staphylococcus ,coagulase negative (CNS)73 -Streptococcus64 Candida albicans55 Corynebacterium faecalis57 Pseudomonas aeruginosa58 Staphylococcus aureus (MRSA)59 Streptococcus anginosus510 Enterococcus faecium4 572017 6 27 12/43 ()FUSN1 Corynebacterium cloacae33 Staphylococcus aureus (MSSA)34 Staphylococcus epidermidis35 Staphylococcus aureus (MRSA)26 Staphylococcus capitis subsp. capitis27 Clostridium difficile18 Enterococcus faecalis19 Escherichia coli110 Pseudomonas aeruginosa1 20 ()FX1 Staphylococcus aureus (MRSA)102 Staphylococcus aureus (MSSA)83 Staphylococcus aureus subsp.

9 Aureus44 Enterococcus faecalis35 Escherichia coli36 Serratia marcescens subsp. marcescens37 Staphylococcus aeruginosa29 Citrobacter amalonaticus110 Citrobacter freundii1 38 ()GAST-D1 Escherichia coli102 Pseudomonas aeruginosa103 Candida glabrata84 Candida albicans75 Enterobacter cloacae76 Enterobacter aerogenes67 Enterococcus faecalis68 Klebsiella pneumoniae subsp. pneumoniae69 Staphylococcus ,coagulase negative (CNS)610 Enterococcus faecium5 71 ()GAST-O1 Escherichia coli92 Candida albicans83 Enterococcus faecalis84 Pseudomonas aeruginosa75 Enterobacter cloacae56 Klebsiella oxytoca37 Prevotella glabrata29 Corynebacterium aerogenes2 49 ()GAST-T1 Escherichia coli112 Enterococcus faecalis83 Enterobacter cloacae74 Staphylococcus epidermidis75 Candida albicans66 Pseudomonas aeruginosa67 ( )58 Corynebacterium anginosus410 Streptococcus constellatus subsp.

10 Constellatus4 62 ()HER1 Staphylococcus aureus (MRSA)32 Corynebacterium cloacae24 Staphylococcus aureus (MSSA)25 Bacteroides constellatus subsp. constellatus18 Streptococcus pyogenes1 13 ()HPRO1 Corynebacterium faecalis13 Micrococcus aeruginosa15 Staphylococcus aureus (MSSA)16 Staphylococcus aureus subsp. aureus17 ( )1 7 ()HYST1 Corynebacterium fragilis13 Citrobacter koseri14 Enterococcus faecalis15 Enterococcus vaginalis17 Peptostreptococcus 9 ()KPRO1 Staphylococcus aureus (MRSA)22 Staphylococcus aureus subsp. aureus23 Corynebacterium aureus (MSSA)15 Staphylococcus epidermidis1 72017 6 27 13/43 ()LAM1 Staphylococcus aureus (MSSA)32 Staphylococcus aureus (MRSA)23 Serratia marcescens subsp. marcescens14 Staphylococcus aureus (MSSA) ( )15 Staphylococcus capitis subsp.